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Lung Transplant



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A lung transplant is a surgical procedure to remove diseased lungs and replace them with healthy lungs from a donor. The procedure is carried out as a life-saving option for patients with end-stage lung disease. It is considered when the physician has exhausted all possible forms of treatment options. Our multi-disciplinary team has the expertise of more than 250 lung transplants in the programme's history. The team is well equipped to manage simple to complex cases requiring multi-modality approaches.

 

  • Why Lung Transplant?

    Types of transplant

    There are 4 types of lung transplants:

    • Double lung transplant: Both the patient's lungs are removed and replaced with the two donated lungs of a single deceased donor. This is the preferred option in the majority of cases.
    • Single lung transplant: Single damaged lung (the worst of the two) is removed from the patient and replaced with a single lung from the donor. This is sometimes indicated in a few select cases.
    • Lobar transplant: One or two lobes from the donor(s) are transplanted to the recipient. It is indicated in some cases of size discrepancies and pediatric patients.
    • Combined Heart-lung Transplant: The heart and both lungs from the recipient are removed and replaced with a heart and two lungs from a single donor. This is indicated in persons with pulmonary vessel abnormalities or cases of end-stage heart and lung diseases

    Who is a Lung transplant Candidate

    • Those with progressive end-stage lung disease who have exhausted all other forms of treatment.
    • The patient's end-stage disease is not likely to recur within the next 5 years.
    • There should not be any major comorbid illness like kidney or liver ailments limiting 5-year survival.
    • They should not have any long-term active infection like hepatitis B or C.
    • There should not have a history of any recent or active malignancy.
    • No active substance abuse.
    • There should be a reliable social support system.

    What are the Risks

    • Lung transplant surgery is a complex surgery that carries a significant risk of complications
    • Rejection : Your body's immune system recognizes the donated lungs as foreign and tries to reject them. Rejection implies the failure of the donor organ. You would be kept on immune-suppressive medications which will target to reduce rejection
    • Infection : The transplant recipients are at increased risk for infection due to the lowering of immunity by medications. You would be required to maintain adequate hygiene all the time and have minimum social contact
    • Blood clots in legs, stroke, clots in the vessels of the lungs and heart predominantly in the postoper-ative period
    • Diabetes, bone thinning, or high cholesterol levels from the medicines
    • Stomach upset, kidney injury or liver injury from anti-rejection drugs
    • Increased risk of certain cancers
    • Problems at the joining sites of the airways or blood vessels.

    Types Of Rejection

    • Acute rejection: Acute rejection can be due to many causes like infection, acid reflux or non-compliance with immunosuppressants. It requires adding on therapy for a short course of time. To identify it earlier, surveillance biopsies of the lung are done at specified intervals
    • Chronic Rejection:This is due to a slow decline in lung function over a while. It can however have a rapid course in some patients warranting aggressive care.

    FAQ

    • How much time does a lung transplant take?
      -The surgery generally takes 6-12 hours depending on the complexities involved with the patient.
    • Can a person live with one lung?
      -Yes, provided it is functioning adequately.
    • Does, diabetes and hypertension affect lung transplants?
      -Any additional illness associated with the patient affects depending on the severity of the associated illness.
Partners in care

Dr. Sandeep Attawar

Director- Lung Transplant
Dr. Sandeep Attawar
Department
Lung Transplant
Qualification

MBBS, Ms - General Surgery, MCh - Cardio Thoracic and Vacular Surgery

Call us Call us on 022-61305000


Dr. Rajesh R. Sharma

Mentor & Consultant
Dr. Rajesh R. Sharma
Department
Pulmonary Medicine
Qualification
MBBS, MD (Chest and Tuberculosis), D.N.B (Respiratory Medicine)
Call us Call us on 022-61305000


Dr. Unmil B Shah

Consultant - Transplant Pulmonology
Dr. Unmil B Shah
Department
Department of Lung Transplantation
Qualification

MD, DNB, European Diploma of Adult Respiratory Medicine

Call us Call us on 022-61305000


Dr. Neeraj A. Kamat

Consultant
Dr. Neeraj A. Kamat
Department
Cardiac Surgery and Heart Transplant
Qualification
MBBS, MS (General Surgery), MCh (CTVS AIIMS), FRCS(Ed)-CTh
Call us Call us on 022-61305000


Dr. Nimish M. Shah

Consultant
Dr. Nimish M. Shah
Department
Pulmonary Medicine
Qualification
MBBS, MRCP (UK), MRCP (Respiratory) CCT (LONDON), PG Cert in Clinical Education (Kings College, London)
Call us Call us on 022-61305000


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